Comparison of Pethidine and Tramadol for the Control of Shivering in Patients undergoing Elective Surgery under Spinal Anesthesia

Authors

  • Mahesh Sharma Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa
  • Kalpana Kharbuja Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa
  • Bikash Khadka Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa

Keywords:

Adverse effects, Pethidine, Shivering, Spinal anesthesia, Tramadol

Abstract

Introduction: Shivering is a common problem faced by an anesthesiologist during intraoperative as well as in postoperative period. It is a frequent, unpleasant, and undesirable complication occurring after sub-arachnoid block (SAB), secondary to vasodilation as a result of sympathetic blockade. The incidence of shivering has been reported to be about 36-85% after SAB. The present study was designed to compare the efficacy of pethidine and tramadol on reducing postoperative shivering following sub-arachnoid block and to compare their adverse effects.

Methods: This randomized, experimental study was conducted in patients undergoing surgery under sub-arachnoid block over a four months period. Patients were randomized into Group P (receiving pethidine) or Group T (receiving tramadol). Patients received either tramadol or pethidine in a dose of 0.5mg/kg intravenously after the appearance of shivering. Disappearance of shivering as well as hemodynamics were observed at scheduled intervals.

Result: Shivering score was significantly lower in Group P at 10, 15, 20, and 30 min compared to Group T. Similarly, nausea/vomiting and dizziness were also lower in Group P but sedation score was higher.

Conclusion: Pethidine provide better antishivering effect than tramadol with less side effect in terms of nausea and vomiting but more sedation.

J. Lumbini. Med. Coll. Vol 4, No 2, July-Dec 2016, page: 66-67

DOI: https://doi.org/10.22502/jlmc.v4i2.92

Downloads

Download data is not yet available.
Abstract
923
PDF
2389

Author Biographies

Mahesh Sharma, Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa

Lecturer

Kalpana Kharbuja, Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa

Lecturer

Bikash Khadka, Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa

Resident

Downloads

Published

2017-01-26

How to Cite

Sharma, M., Kharbuja, K., & Khadka, B. (2017). Comparison of Pethidine and Tramadol for the Control of Shivering in Patients undergoing Elective Surgery under Spinal Anesthesia. Journal of Lumbini Medical College, 4(2), 66–67. Retrieved from https://www.nepjol.info/index.php/JLMC/article/view/16464

Issue

Vol. 4 No. 2 (2016)

Section

Original Research Articles

License

The Journal of Lumbini Medical College (JLMC) publishes open access articles under the terms of the Creative Commons Attribution(CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

JLMC requires an exclusive licence allowing to publish the article in print and online.

The corresponding author should read and agree to the following statement before submission of the manuscript for publication,

License agreement
In submitting an article to Journal of Lumbini Medical College (JLMC) I certify that:

  1. I am authorized by my co-authors to enter into these arrangements.
  2. I warrant, on behalf of myself and my co-authors, that:
    • the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
    • I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to JLMC are not in breach of any other obligation;
    • the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
    • I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.
  3. I, and all co-authors, agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0. If the law requires that the article be published in the public domain, I/we will notify JLMC at the time of submission, and in such cases the article shall be released under the Creative Commons 1.0 Public Domain Dedication waiver. For the avoidance of doubt it is stated that sections 1 and 2 of this license agreement shall apply and prevail regardless of whether the article is published under Creative Commons Attribution License 4.0 or the Creative Commons 1.0 Public Domain Dedication waiver.
  4. I, and all co-authors, agree that, if the article is editorially accepted for publication in JLMC, data included in the article shall be made available under the Creative Commons 1.0 Public Domain Dedication waiver, unless otherwise stated. For the avoidance of doubt it is stated that sections 1, 2, and 3 of this license agreement shall apply and prevail.

Please visit Creative Commons web page for details of the terms.